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Liberal Democrat European Group - Bankers Order Form
To Bank Sort Code
Branch Address
A/c Name A/c No
Reference Please pay to LDEG the sum of £
Date of first payment
Frequency of payment monthly/quarterly/annually Until further notice
Signed Date
Please return to Derek Honeygold (Treasurer LDEG)
134 Haydon Drive, Pinner, Middx, HA5 2PW